Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 1999
NPI: 1790770063
Practice Locations (2)
STANFORD HEALTH CARE
2452 WATSON CT
PALO ALTO, CA 943033216
6507236995
STANFORD HEALTH CARE
300 PASTEUR DR
STANFORD, CA 943052200
6507234000
Source: CMS National Downloadable File, September 2026.